PRATHAN SIRIVAT Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070006385

License Status

ACTIVE

Business

First Name

PRATHAN

Last Name

SIRIVAT

Business Name

PRATHAN SIRIVAT

Original Issue Date

02/20/1991

Effective Date

07/28/2024

Expiration Date

09/30/2026

City

WILMETTE

State

Zip

60091

County

COOK

Ever Disciplined

LastModifiedDate

07/28/2024